WIC Policy Manual

ADDENDA

Administration Addenda
- 1.1 Vendor Issue Reporting Form
- 1.1 Vendor Issue Reporting Process Details
- 2.5 Clinic Information Sheet
- 2.7 PPS WIC MIS Access Guidance February 2024
  - IL444-2022 Form System Access Request
  - IL444-2022 Form System Access Request NO IL DL
  - IL444-2022 Form Delete User ID Request
- 2.7 Illinois Paper Certification Form Frontline
  - Prescreening
  - Income
  - Participant Information
  - Rights and Responsibilities
- 2.7 WIC Paper Assessment Tool: Pregnant
  - Certification Form: Pregnant
  - Lab Grid
  - Pregnancy Information/Health
  - Nutrition
  - Nutrition Risk
  - Nutrition Education
  - Individual Care Plan
  - Referrals
  - Food Prescription
  - Next Appointment
- 2.7 WIC Paper Assessment Tool: Breastfeeding
  - Certification Form: Breastfeeding
  - Lab
  - Grid
  - Pregnancy Information/Health
  - Nutrition
  - Nutrition Risk
  - Nutrition Education
  - Individual Care Plan
  - Referrals
  - Food Prescription
  - Next Appointment
- 2.7 WIC Paper Assessment Tool: Postpartum
  - Certification Form: Postpartum
  - Lab
  - Grid
  - Pregnancy Information/Health
  - Nutrition
  - Nutrition Risk
  - Nutrition Education
  - Individual Care Plan
  - Referrals
  - Food Prescription
  - Next Appointment
- 2.7 WIC Paper Assessment Tool: Infant
  - Certification Form: Infant
  - Lab
  - Boy birth to 36 months: length and weight for age
  - Girl birth to 36 months: length and weight for age
  - Boy birth to 36 months: weight for length
  - Girl birth to 36 months: weight for length
  - Health
  - Nutrition
  - Nutrition Risk
  - Nutrition Education
  - Individual Care Plan
  - Referrals
  - Food Prescription
  - Next Appointment
- 2.7 WIC Paper Assessment Tool: Child
  - Certification Form: Child
  - Lab
  - Growth Chart Boys 2-5 years, weight for stature
  - Growth Chart Girls 2-5 years, weight for stature
  - Growth Chart Boys 2-5 years, BMI for age
  - Growth Chart Girls 2-5 years, BMI for age
  - Growth Chart: Boys 2-5 years, stature and weight for age
  - Growth Chart: Girls 2-5 years, stature and weight for age
  - Boy birth to 36 months: length and weight for age
  - Girl birth to 36 months: length and weight for age
  - Boy birth to 36 months: weight for length
  - Girl birth to 36 months: weight for length
  - Health
  - Nutrition
  - Nutrition Risk
  - Nutrition Education
  - Individual Care Plan
  - Referrals
  - Food Prescription
  - Next Appointment
- 2.7 WIC Paper Assessment Tool: Mid Certification
  - Breastfeeding
  - Infant
  - Child
- 3.1 Local Agency WIC Cost Categories
- 3.2 Allowable Cost by Line Item
- 3.3 PPS Equipment Request Process
- 3.4 Request to Dispose Template
- 3.4 Equipment Inventory Form
- 5.2 PPS Communication with WIC Participants
- 7.1 Civil Rights Related Definitions
- 7.2 Civil Rights Complaint Log
- 7.2 USDA Program Discrimination Complaint Form
- 7.4 PPS Civil Rights Public Notification & Social Media
- 16.1 Applicant Notification of Appeal Rights and Fair Hearing: Spanish
- 8.1 WIC Outreach Plan and Log
- 10.1 NPS: Breastfeeding
- 10.2 Electric Breast Pump Loan/Release Form
- 11.5 NPS: Breastfeeding Competencies
- 12.3 PPS Guidelines for Referrals for CPA Assistants
- 12.4 PPS WIC Paraprofessional Procedure Template
- 13.1 Voter Registration Application Transmittal
- 13.1 PPS Voter Registration Flow Chart
- 14.1 Illinois WIC Disaster Plan of Action
- 15.1 Illinois WIC Employee Confidentiality & Compliance Agreement
- 15.3 WIC Full Access Record Review Tool
- 15.4 Employee Compliance Report
Certification Standards